Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A127575 | CA |
N | 111NI0900X | Internist | A127575 | CA |
NPI | 1003221177 |
---|---|
Provider Name | Jeeven Brah |
First Address | Lafayette, CA 94549-3717 |
Second Address | Oakland, CA 94609-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2014 |
Last Update Date | 22/03/2017 |